Collect Memories at Home LLC

Organization Active NPI Personal Care Attendant · Gladewater, TX

NPI 1306338124 · NPPES record last updated Jun 6, 2018

Key facts

NPI
1306338124
Entity type
Organization (NPI type 2)
Primary specialty
Personal Care Attendant 3747P1801X
Legal business name
COLLECT MEMORIES AT HOME LLC
Practice address
600 W Gay Ave
Gladewater, TX 75647-4802
Phone
(903) 241-8718
NPI assigned
Jun 6, 2018
Organization subpart
No

Authorized official

Name
Jordan B Palmer, RN
Title
Registered Nurse
Phone
(903) 241-8718

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X TX Yes

Addresses

Primary practice location

600 W Gay Ave
Gladewater, TX 75647-4802

Mailing address

PO Box 2082
Longview, TX 75606-2082
Phone (903) 241-8718

Other providers in Gladewater, TX

All providers in Gladewater, TX · Personal Care Attendant in Texas

Sources for this page

Verify at the official NPI Registry.